50292D - Rouse

K1CAMA/ ❑DREDGE & FILL 4.'
GENERAL PERMIT Previous permit#
ViNew El Modification El Complete Reissue ❑Partial Reissue Date previous permit issued
orized by the State of North Carolina,Department of Environment and Natural Resources
i�av
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC�n •
Al Rules attached.
Lnt Name n;kprr'�S v.—C>u "tLc Project Location: County Pt'>w Z DE I
s —7/(0 F....c t-P ,•) ps,U>; Street Address/State Road/Lot#(s)
>u cuu Oily y State L)C ZIP 284/44. ---)/V 1Z- _A i j -A i f
#(lia )3Z8'4185^2- Fax#( ) Subdivision
ized Agent L.LG+1T 1'4o4..5 C City SA1.F G,ZT 7 ZIP Z )
d ❑CW El EW p PTA IDES ElPTS Phone# ( ) River BasirCAPE. I
❑OEA ❑HHF ❑IH ❑UBA El N/A
Adj.Wtr. Body 51-kn r"P Saces,a 1%) 0-4
❑ PWS: III FC:
tV
yes /,-n l> PNA / no Crit.Hab. yes / no Closest Maj.Wtr. Body al'�
Af Project/Activity L "3 1 t• L i)X 1 Z ,,r:,YL 7 C o tit 1451-1-IG �K—
(Scale: f ''
lock)length
m(s) 1
pier(s) I I
•
length
i II
umber I
i
ad/Riprap length
vg distance offshore
nax distance offshore
channel
I
ubic yards
sib i
>u Boatli j j i( j 1- r 4 A 11✓ L. L }
Bulldozing __
-
-7* wi I
r
ne Length
jai
i -
not sure yes GO / I
I _
igs: not sure yes (.1iTZI> i i f
>rium: n/a yes egg) r IL I ,
�� i
yes �J •
•Attached: t.9 no 1
iing permit may be required by: 3(Q_E T-' See note on back regarding River Basin

'` 3275
LIGHTHOUSE MARINE CONSTRUCTION
P.O. BOX 2532 t
SURF CITY,NC 28445-0028
66-19/530 NC F.
i DATE ,. " COS/ 702 �.
s j n ) I
PAY Y 2 l v ;C $
TO THE
h ORDER OF-r-c,,� ) I $ :©©°O
/1,.,,,(2,,,,,,,,, ck„.._
L ABS �'
BankofAmerica
ACH Rlf 0530001 1i
FORSI_ PU11-6P44L' 56 e, q-2-7 _61. -i‘j (. &
"f
11'003275n' 1:053000L961: 00065L3L3, 3670'
—
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r

AD-L.CFN'T RIP 4RI A'N_PROP R'i"�' TVER FORN
Tlame Of Individual Applying For Permitt. J 2-Y✓�
Address Of Property: 7 1(o r Q \ _0__2_
ScCA , � L Re-,r-9 teti'C_
(Lot or r Street#, S eet or Roir, City & County)
I hereby certify tit I Own-property'adjacent to the above-referenceL property. The indivi
this petr�kt has described to�irarta.:aed the develop
apply .: ::� r.:��:�II on the �. , tarawing e,opn
they.ant proposing. A description or drawia„ vial dimensions, should be provided with
letter.
• I !+avr,�+rr ob eciic s to•his ' rtl.
/ you have nitow,innt in titter i; heir*q prnpasocl. please > P tip Mac it inner call
J�
,. .. Aft ..._ ., . •ldl, .,, #1. Pi. . :
,A at'. 'a •a .11 I a ',- ' 4Qc Cr 910:
'.1.1 •.a..••. I •. 1, •I a-• I. •J ..q. I•1I a 4 4-.•4.4/ •1I C 1.4
+c h,v �r tie sti furl h,X �"'r�'tifi�.ri M it •• 113. no�}�
WkTv ',g-SprTIQN
I usdatantud diuiapier, dock, mooring pilings; breakwater, boat house lift or sandbags
,
set back a mini distance of 15' from my area of access unlessmif '
waived byme.
wish to waive the setback, you must initial the appropriate blank.below.) �
.. .....cie
I do wish to waive the 15' setback requiren t,,.
I dik„ st wii1 77Live the 15'
it
.... . . _ . ...-Z-4: PA•e‘•4^
Si A �1Date ]►��c.iv-IIPPr,lais

An t A F�'T B TP 4R i 4 P c2F Tl gyi N rn't C A'ri mq l FR FOR be
dame Of Individual Applying For Pe mit Ta ry t 5 \('9 \i 5 6
Address Of Property: -7 ( a 20 (aL'o
(-) :111
Nc Pei 7 7 0 etc
Lot or a`creet#, Street "Acid, City & County)
I hereby certify t a own property adjacent to the above-reference.. property. The b divic
aptly'*AW this periatht has described toile c.r n on tine s'cta;ne.i craweio ing the dev pa
they ire proposing. A description or draw•iag, with dimensions, should be provided with
least.
I k+sv*,zto objectival to this MI 1 rill.
/Lyn., h» nitecdotm to what k heing prnpft M please write pm fivicinn n_f_Cai
.. • _•.. .1 - - ),I )1•- ti;a1 it•I 'Ja •)1 ►, •lf I • •/ . �. 116, U ✓. • ,
•.l.1 '.Iu,•,, / •. 1, •% .—• •1.1 •J N. I•m • • I-.11.•1
•f�f ti not e h •l •,• • ••• • same 2� n�}
4. a
WATV .SEM014j
I istdotsnmd dial spier, dank, mooring pilings; breakwater, boat house, lift or sandbags ,
set back a minims distance of 15' from mmac
wish m waive the>tetbacl., you must initial the of access unless waived by me. �`
appropriate blank below.)
(1A I do wish to waive the 15' setback requirement..
......y.._._ I daxit wish w live tfre 5' seeztrk
mieseamesan
/ -or t iv 1

) LNAM
ILL, SOUTH CAROLINA 29059 South Atlantic Region 800-vc
AC 803-496-5027 919-E
Toll Free: 1-800-922-7001 Santee Region 800-E
:ate Toll Free: 1-800-845-7051 803-7
Lighthouse Marine Construction, irk
Z9k) Post Office Boa 2532
aim Surf City, NC 28445
l f Po laii0 [phone]
n
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